Week 5 Pharm Review

Froggy Jumps

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Antiarrhythmics, Lipid-Lowering agents, Blood coagulation Agents

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Audrey Miller

United States

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Week 5 Pharm Review


Froggy Jumps Week 5 Pharm ReviewOnline version Antiarrhythmics, Lipid-Lowering agents, Blood coagulation Agents by Audrey Miller 1 A patient with ventricular dysrhythmias is prescribed lidocaine. This medication primarily affects which phase of the cardiac action potential? a Phase 0 (sodium influx) b Phase 1 (early repolarization) c Phase 4 (automaticity) 2 Which class of antiarrhythmic drugs slows AV node conduction and is useful for rate control in atrial fibrillation? a Class IV b Class III c Class II 3 A patient is receiving propranolol. The nurse understands this medication treats dysrhythmias by which mechanism? a Blocking beta-adrenergic receptors b Prolonging repolarization c Increasing calcium influx 4 Which monitoring parameter is the PRIORITY when initiating IV antiarrhythmic therapy? A. Blood glucose a Continuous ECG b Intake and output c Daily Weight 5 A prolonged QT interval places the patient at highest risk for which complication? a Torsades de pointes b Sinus Bradycardia c Atrial Fibrillation 6 Which lab value best evaluates the effectiveness of statin therapy? a LDL b Total cholesterol c HDL 7 A patient taking atorvastatin reports muscle pain and weakness. Which lab should the nurse anticipate reviewing? a Creatine kinase (CK) b AST and ALT c INR 8 Which finding requires the nurse to notify the provider and possibly discontinue statin therapy? a AST level three times normal b LDL decreased from 180 to 120 mg/dL c Occasional nausea 9 Which lab value is used to monitor warfarin therapy? a INR b Platelet c aPTT 10 Which anticoagulant requires monitoring with aPTT? a Heparin b Warfarin c Aspirin 11 A patient receiving warfarin has an INR of 4.5. What is the nurse’s priority action? a Hold the medication and notify the provider b Administer protamine sulfate c Administer the next dose 12 Which patient statement indicates a need for further teaching about anticoagulant therapy? a “I can double my dose if I miss one.” b “I will use an electric razor.” c “I will report blood in my urine.” 13 The nurse is caring for a patient on anticoagulant therapy. Which nursing diagnosis is the PRIORITY? a Risk for bleeding b Imbalanced nutrition c Risk for Infection 14 Which outcome best indicates effective anticoagulant therapy? a Therapeutic lab values within target range b No evidence of bruising c Abscence of pain

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Week 5 Pharm Review

Froggy Jumps

About this activity

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Week 5 Pharm ReviewOnline version

by Audrey Miller

A patient with ventricular dysrhythmias is prescribed lidocaine. This medication primarily affects which phase of the cardiac action potential?

Which class of antiarrhythmic drugs slows AV node conduction and is useful for rate control in atrial fibrillation?

A patient is receiving propranolol. The nurse understands this medication treats dysrhythmias by which mechanism?

Which monitoring parameter is the PRIORITY when initiating IV antiarrhythmic therapy? A. Blood glucose

A prolonged QT interval places the patient at highest risk for which complication?

Which lab value best evaluates the effectiveness of statin therapy?

A patient taking atorvastatin reports muscle pain and weakness. Which lab should the nurse anticipate reviewing?

Which finding requires the nurse to notify the provider and possibly discontinue statin therapy?

Which lab value is used to monitor warfarin therapy?

Which anticoagulant requires monitoring with aPTT?

A patient receiving warfarin has an INR of 4.5. What is the nurse’s priority action?

Which patient statement indicates a need for further teaching about anticoagulant therapy?

The nurse is caring for a patient on anticoagulant therapy. Which nursing diagnosis is the PRIORITY?

Which outcome best indicates effective anticoagulant therapy?